Comparison Between Individualized PEEP Ventilation Guided by Driving Pressure and Conventional Lung Protective Strategy in Obese Patients Undergoing Laparoscopic Bariatric Surgery
Comparison Between Individualized PEEP Ventilation Guided by Driving Pressure and Conventional Lung Protective Strategy in Obese Patients Undergoing Laparoscopic Bariatric Surgery: a Prospective Randomized Controlled Trial
Mahmoud Gamal Ahmed Arakeeb
60 participants
Dec 1, 2024
INTERVENTIONAL
Conditions
Summary
this study to compare the ventilation in obese patients either using Driving pressure ventilation technique or conventional protective lung strategy all by using Lung ultrasound score
Eligibility
Inclusion Criteria4
- patients who have a BMI 30-40 kg/m2
- American Society of Anesthesiologists (ASA) physical status II or III
- patients aged between 18 and 60 years,
- patients scheduled to undergo laparoscopic bariatric surgeries.
Exclusion Criteria6
- patients' refusal to participate in the study,
- previous history of thoracic surgery,
- Patients with a history of chest disease (COPD, emphysema, or pneumothorax),
- Patients with abnormal pre-operative chest radiographs, such as pneumonia and pleural effusion,
- Patients with right-side heart failure or impending failure,
- Patients with known hypovolemia, and Patients with increased intracranial pressure.
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Interventions
The lung ultrasound score between 0 and 3 (0 = normal A lines, 1 = multiple separated B lines, 2 = coalescing B lines or light beam, 3 = consolidation). The aeration score will be built by the sum of the scores of the 12 segments, with a minimum of 0 and a maximum of 36 according to the aeration loss.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06950112